Abstract:
Background - newborn health have a high stake in global health agenda, however, 7000 newborns die each day in the world. and the fact that the practice of low essential immediate care service contribute to the problem. This research identifies factors which were associated with the practice of essential newborn care. Objective –The main purpose of this study was to assess essential new born care practice and associated factors among health professionals in North Shoa zone . Method – A facility based cross sectional study conducted from 25-Feb-2019-25-Mar-2019. A total of 256 health professionals were involved in the study from randomly selected health facilities in North shewa zone. Data was collected by trained nurses using interview and observational checklist by using convenient method. Data were entered into EPi info and it was exported to SPSS version 20 for analysis. Descriptive statistics was generated to determine the practice of essential new born care practice and binary logistic regression was used to identify factors associated with the practice of essential new born care practice.
Result-A total of 256 health professionals were involved in the study. The overall practice of this study was 73.8% : 95% CI=68-79). Overall, 256 health professionals during observation and interview 99.2% of respondents immediately dry baby,99.2% warm the baby by putting baby with the mothers skin,256(100%) initiate breast feeding within one hour, 98% were provide vitamin K, 99.2% apply TTC eye ointment ,99.2% weigh baby. Interest of health professionals (AOR=2.07:95% CI=1.04,4.118 ),availability Vitamin K (AOR=4.457:95% CI=1.015,19.574) ,training on ENC (AOR=2.915:95% CI=1.05,8.097) ,age >39 years old were 89.5% ( AOR=0.105 :95% CI:0.024,0.456) were significantly associated factors of practice of essential newborn care.
Conclusion –Majority of health professionals had a good practice of essential newborn care which was satisfactory . In adjusted odds ratio, interest of health professionals, availability of vitamin k injection, training and age were significantly associated with practice of essential newborn care, so all necessary drugs and supplies for ENC should be fulfilled in hospitals and health centers to implement all of the WHO standards of essential newborn care.